Ruptured ectopic pregnancy with a negative urinary pregnancy test after methotrexate treatment – challenges of diagnosis in the emergency department

2017 ◽  
Vol 37 (7) ◽  
pp. 958-959
Author(s):  
Hasan Qayyum ◽  
Shammi Ramlakhan ◽  
Remon Keriakos ◽  
Babu Gunasekaran
Keyword(s):  
Emergency Department ◽  
Ectopic Pregnancy ◽  
Pregnancy Test ◽  
Methotrexate Treatment

scholarly journals Successful Laparoscopically Assisted Transcervical Suction Evacuation of Interstitial Pregnancy following Failed Methotrexate Injection in a Community Hospital Setting

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Rani B. Fritz ◽  
Neal Rosenblum ◽  
Kecia Gaither ◽  
Alonzo Sherman ◽  
Alwyn McCalla
Keyword(s):  
Ectopic Pregnancy ◽  
Operating Room ◽  
Community Hospital ◽  
Hospital Setting ◽  
Interstitial Pregnancy ◽  
Pregnancy Test ◽  
Suction Curettage ◽  
Methotrexate Treatment ◽  
Urine Pregnancy Test

We report on a case of a patient with an early diagnosed cornual ectopic pregnancy following failed methotrexate treatment. The patient was subsequently taken to the operating room for a laparoscopic guided transcervical suction curettage of the cornual ectopic. The surgery was successful and the patient was followed up until her urine pregnancy test was negative. We conclude that in properly selected patients, cornual ectopic pregnancy may be treated with transcervical suction curettage.

scholarly journals A Ruptured Ectopic Pregnancy Presenting with a Negative Urine Pregnancy Test

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnathan Michael Sheele ◽  
Rachel Bernstein ◽  
Francis L. Counselman
Keyword(s):  
Emergency Department ◽  
Ectopic Pregnancy ◽  
Chorionic Gonadotropin ◽  
Early Pregnancy ◽  
Human Chorionic Gonadotropin ◽  
Rare Case ◽  
Obstetrics And Gynecology ◽  
Pregnancy Test ◽  
Beta Human Chorionic Gonadotropin ◽  
Urine Pregnancy Test

A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case highlights the fallibility of the urine pregnancy test in diagnosing early pregnancy.

scholarly journals Lung neoplasm mimicking as ectopic pregnancy due to paraneoplastic secretion of human chorionic gonadotropin: a case report and literature review

2021 ◽  
Author(s):  
Jin Peng ◽  
Shangge lv ◽  
Lin Liu ◽  
Shuai Feng ◽  
Naidong Xing
Keyword(s):  
Systematic Review ◽  
Ectopic Pregnancy ◽  
Chorionic Gonadotropin ◽  
Human Chorionic Gonadotropin ◽  
Lung Neoplasm ◽  
High Serum ◽  
Pregnancy Test ◽  
Positive Pregnancy Test ◽  
Β Hcg ◽  
Present Systematic Review

Abstract Purpose The present systematic review aimed to examine the relationship between lung neoplasm and human chorionic gonadotropin (HCG). Especially, women with lung neoplasm mimicking as ectopic pregnancy were explored. Methods A rare case of lung neoplasm with high serum β-HCG, which was initially thought to be ectopic pregnancy, was reported. A literature search was performed of the US National Library of Medicine (MEDLINE), EMBASE, PubMed, and the Cochrane Database of Systematic Reviews using appropriate keywords and subject headings to February 2020. Results Studies assessed lung neoplasm patients with positive HCG were included. Twenty studies, including 24 patients, were included. These cases illustrate the importance of considering the possibility of paraneoplastic secretion of β-HCG in patients who have a positive pregnancy test. This may prevent a delay in the diagnosis and treatment of malignancy in young women. Of the 24 cases, only 7 (29.17%) were managed surgically; others were managed conservatively or with chemotherapy or radiation. Conclusion The present systematic review shows the need to re-awaken awareness and high index of suspicion to lung neoplasm diagnosis in patients with positive pregnancy test.

scholarly journals Race, socioeconomic status, and response to methotrexate treatment of ectopic pregnancy in an urban population

2010 ◽  
Vol 94 (7) ◽  
pp. 2789-2792 ◽  
Author(s):  
Samantha F. Butts ◽  
Erika Gibson ◽  
Mary D. Sammel ◽  
Alka Shaunik ◽  
Brianna Rudick ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Ectopic Pregnancy ◽  
Urban Population ◽  
Methotrexate Treatment

scholarly journals A case of ruptured ectopic pregnancy involving a negative urinary pregnancy test result

2018 ◽  
Vol 34 (1) ◽  
pp. 123-127
Author(s):  
Kaori Mizuta ◽  
Junya Miyoshi ◽  
Kumiko Kuroda ◽  
Takashi Idegami ◽  
Yoshihiro Tanaka ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Pregnancy Test ◽  
Test Result

Predictors of Success of Methotrexate Treatment for Tubal Ectopic Pregnancies

2021 ◽  
pp. 267-271
Author(s):  
Mary Louise Fowler ◽  
Paul Hendessi ◽  
Nyia Noel
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Cardiac Activity ◽  
Predictors Of Success ◽  
Therapy Failure ◽  
Methotrexate Treatment ◽  
Ectopic Pregnancies

This study reviewed the use of a single dose of intramuscular methotrexate as therapy in women with an ectopic pregnancy. Therapy failure was more likely in women with higher hCG level and presence of cardiac activity at time of treatment. Age, parity, size of pregnancy, and the presence of intraperitoneal fluid were not found to correlate with treatment failures.

Success rate of methotrexate treatment for recurrent vs. primary ectopic pregnancy: a case-control study

2019 ◽  
Vol 40 (4) ◽  
pp. 507-511 ◽  
Author(s):  
Gabriel Levin ◽  
Uri P. Dior ◽  
Asher Shushan ◽  
Ronit Gilad ◽  
Avi Benshushan ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Success Rate ◽  
Case Control Study ◽  
Case Control ◽  
Methotrexate Treatment ◽  
Control Study
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